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The interval cancer rate was 2. 5 per 1,000 screened in the MRI group and 5. 0 per 1,000 with mammography 95 CI, 1. 0 to 3. 7; p0. 001. Of the women who were invited to undergo MRI, 59 accepted. Of the 20 interval cancers that were diagnosed in the MRI group, 4 were detected in those who actually underwent MRI 0. 8 per 1,000 screened and 16 in those who did not accept the invitation 4. 9 per 1,000. The MRI detection rate among women who actually underwent screening was 16. 5 per 1,000 screenings 95 CI, 13. 3 to 20. The positive predictive value was 17. 4 95 CI 14. 2 to 21. 2 for additional testing and 26. 3 95 CI 21. 7 to 31. 6 for biopsy.